Waive

CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS

SULPHUR SPRINGS, TX · version 1 · published · JSON

eligibility.free_care_max_fpl300% of the federal poverty level

"Any patient whose gross family income is at or below 300% of the FPL will be extended a full 100% charity care discount for any Uninsured Balance or Balance After Insurance on patient responsibility for Covered Services prior to the application of the Uninsured Discount, if applicable."

documented · checked 2026-10-10 · Financial Assistance Policy in English

apply.documents_requiredPhoto ID
Proof of income
Social Security letter
Tax return
Pay stubs
Bank statements

"YOU MUST PROVIDE AT LEAST 1 OF THE FOLLOWING: YOU MUST PROVIDE PROOF OF IDENTITY WITH Most recent and complete Income Tax Return AT LEAST 1 THE FOLLOWING: __3 most recent paycheck stubs __ Current Driver’s License __ Alien Registration __3 most recent checking/savings account statements __ Passport __State-Issued Identification Card __ Food Stamp or SSI/SSA/SSD award letter __If you report a $0 income, please attach a brief explanation of how you or the patient are meeting basic needs"

documented · checked 2026-10-10 · [PDF] Financial Assistance Application - CHRISTUS Health

apply.submit_methodsMail: Completed applications, including all required information and documentation, should be submitted to the CHRISTUS Hospitals and CHRISTUS Clinics for eligibility determination. Completed applications may be: a. Submitted by mail to Customer Service using the address on the application;
In person: Completed applications, including all required information and documentation, should be submitted to the CHRISTUS Hospitals and CHRISTUS Clinics for eligibility determination. Completed applications may be: b. Delivered in person to the hospital admitting department.

"Completed applications, including all required information and documentation, should be submitted to the CHRISTUS Hospitals and CHRISTUS Clinics for eligibility determination. Completed applications may be: a. Submitted by mail to Customer Service using the address on the application; or b. Delivered in person to the hospital admitting department."

documented · checked 2026-10-10 · Financial Assistance Policy in English

collections.eca_wait_days120 days

"Under no circumstance will CHRISTUS Hospitals and CHRISTUS Clinics pursue an Extraordinary Collection Actions until 120 days after the date of the first post-discharge billing statement for the care at issue."

documented · checked 2026-10-10 · Financial Assistance Policy in English

contacts.phone800-877-8623

"Calling Customer Service at 800-877-8623, Monday through Friday, 8 a.m. to 5 p.m. (central time);"

documented · checked 2026-10-10 · Financial Assistance Policy in English

contacts.hoursMonday through Friday, 8 a.m. to 5 p.m. (central time)

"Calling Customer Service at 800-877-8623, Monday through Friday, 8 a.m. to 5 p.m. (central time);"

documented · checked 2026-10-10 · Financial Assistance Policy in English

contacts.languagesEnglish
Spanish
Vietnamese

"Plain Language Summary * [Plain Language Summary in English](/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2026/plain-language-summary-english.ashx) * [Plain Language Summary in Spanish](/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2026/plain-language-summary-spanish.ashx) * [Plain Language Summary in Vietnamese](/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/financial-language-documents/2026/plain-language-summary-english-vietnamese.ashx)"

documented · checked 2026-10-10 · Financial Assistance

coverage.facilitiesCHRISTUS Trinity Mother Frances Hospital - Sulphur Springs

"**CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs 115 Airport Rd Sulphur Springs, Texas 75482 [List of Providers Accepting and Not Accepting Charity Care](/-/media/christus-health/plan-care/files/bill-pay/financial-assistance/providers-accepting-and-not-accepting/use/501rchristustmfsulphursprings.ashx)"

documented · checked 2026-10-10 · Financial Assistance

Sources

Financial Assistance — fetched 2026-10-10

[PDF] Financial Assistance Application - CHRISTUS Health — fetched 2026-10-10

2021PlainLanguageSummaryHospitalEnglish.pdf — fetched 2026-10-10

[PDF] CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs — fetched 2026-10-10

Financial Assistance Policy in English — fetched 2026-10-10

Financial Assistance Policy in Spanish — fetched 2026-10-10

Financial Assistance Policy in Vietnamese — fetched 2026-10-10

List of Providers Accepting and Not Accepting Charity Care — fetched 2026-10-10